diff --git a/CHANGELOG.md b/CHANGELOG.md
index 1935034aac0..d4eccf8ae69 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -17,6 +17,8 @@ and this project adheres to [Semantic Versioning](https://semver.org/spec/v2.0.0
   ([#4494](https://github.com/open-telemetry/opentelemetry-python/pull/4494))
 - Improve CI by cancelling stale runs and setting timeouts
   ([#4498](https://github.com/open-telemetry/opentelemetry-python/pull/4498))
+- Patch logging.basicConfig so OTel logs don't cause console logs to disappear
+  ([#4436](https://github.com/open-telemetry/opentelemetry-python/pull/4436))
 - Fix ExplicitBucketHistogramAggregation to handle multiple explicit bucket boundaries advisories
  ([#4521](https://github.com/open-telemetry/opentelemetry-python/pull/4521))
 
diff --git a/opentelemetry-sdk/src/opentelemetry/sdk/_configuration/__init__.py b/opentelemetry-sdk/src/opentelemetry/sdk/_configuration/__init__.py
index c1852edd957..745a83385f9 100644
--- a/opentelemetry-sdk/src/opentelemetry/sdk/_configuration/__init__.py
+++ b/opentelemetry-sdk/src/opentelemetry/sdk/_configuration/__init__.py
@@ -253,12 +253,33 @@ def _init_logging(
     set_event_logger_provider(event_logger_provider)
 
     if setup_logging_handler:
+        _patch_basic_config()
+
+        # Add OTel handler
         handler = LoggingHandler(
             level=logging.NOTSET, logger_provider=provider
         )
         logging.getLogger().addHandler(handler)
 
 
+def _patch_basic_config():
+    original_basic_config = logging.basicConfig
+
+    def patched_basic_config(*args, **kwargs):
+        root = logging.getLogger()
+        has_only_otel = len(root.handlers) == 1 and isinstance(
+            root.handlers[0], LoggingHandler
+        )
+        if has_only_otel:
+            otel_handler = root.handlers.pop()
+            original_basic_config(*args, **kwargs)
+            root.addHandler(otel_handler)
+        else:
+            original_basic_config(*args, **kwargs)
+
+    logging.basicConfig = patched_basic_config
+
+
 def _import_exporters(
     trace_exporter_names: Sequence[str],
     metric_exporter_names: Sequence[str],
diff --git a/opentelemetry-sdk/tests/test_configurator.py b/opentelemetry-sdk/tests/test_configurator.py
index 12cfd5c1d2e..9fda75b66f0 100644
--- a/opentelemetry-sdk/tests/test_configurator.py
+++ b/opentelemetry-sdk/tests/test_configurator.py
@@ -15,6 +15,7 @@
 # pylint: skip-file
 from __future__ import annotations
 
+import logging
 from logging import WARNING, getLogger
 from os import environ
 from typing import Iterable, Optional, Sequence
@@ -44,6 +45,7 @@
     _OTelSDKConfigurator,
 )
 from opentelemetry.sdk._logs import LoggingHandler
+from opentelemetry.sdk._logs._internal.export import LogExporter
 from opentelemetry.sdk._logs.export import ConsoleLogExporter
 from opentelemetry.sdk.environment_variables import (
     OTEL_TRACES_SAMPLER,
@@ -203,7 +205,7 @@ class OTLPSpanExporter:
     pass
 
 
-class DummyOTLPLogExporter:
+class DummyOTLPLogExporter(LogExporter):
     def __init__(self, *args, **kwargs):
         self.export_called = False
 
@@ -841,6 +843,60 @@ def test_initialize_components_kwargs(
             True,
         )
 
+    def test_basicConfig_works_with_otel_handler(self):
+        with ClearLoggingHandlers():
+            _init_logging(
+                {"otlp": DummyOTLPLogExporter},
+                Resource.create({}),
+                setup_logging_handler=True,
+            )
+
+            logging.basicConfig(level=logging.INFO)
+
+            root_logger = logging.getLogger()
+            stream_handlers = [
+                h
+                for h in root_logger.handlers
+                if isinstance(h, logging.StreamHandler)
+            ]
+            self.assertEqual(
+                len(stream_handlers),
+                1,
+                "basicConfig should add a StreamHandler even when OTel handler exists",
+            )
+
+    def test_basicConfig_preserves_otel_handler(self):
+        with ClearLoggingHandlers():
+            _init_logging(
+                {"otlp": DummyOTLPLogExporter},
+                Resource.create({}),
+                setup_logging_handler=True,
+            )
+
+            root_logger = logging.getLogger()
+            self.assertEqual(
+                len(root_logger.handlers),
+                1,
+                "Should be exactly one OpenTelemetry LoggingHandler",
+            )
+            handler = root_logger.handlers[0]
+            self.assertIsInstance(handler, LoggingHandler)
+
+            logging.basicConfig()
+
+            self.assertGreater(len(root_logger.handlers), 1)
+
+            logging_handlers = [
+                h
+                for h in root_logger.handlers
+                if isinstance(h, LoggingHandler)
+            ]
+            self.assertEqual(
+                len(logging_handlers),
+                1,
+                "Should still have exactly one OpenTelemetry LoggingHandler",
+            )
+
 
 class TestMetricsInit(TestCase):
     def setUp(self):
@@ -1076,3 +1132,40 @@ def test_custom_configurator(self, mock_init_comp):
             "sampler": "TEST_SAMPLER",
         }
         mock_init_comp.assert_called_once_with(**kwargs)
+
+
+class ClearLoggingHandlers:
+    def __init__(self):
+        self.root_logger = getLogger()
+        self.original_handlers = None
+
+    def __enter__(self):
+        self.original_handlers = self.root_logger.handlers[:]
+        self.root_logger.handlers = []
+        return self
+
+    def __exit__(self, exc_type, exc_val, exc_tb):
+        self.root_logger.handlers = []
+        for handler in self.original_handlers:
+            self.root_logger.addHandler(handler)
+
+
+class TestClearLoggingHandlers(TestCase):
+    def test_preserves_handlers(self):
+        root_logger = getLogger()
+        initial_handlers = root_logger.handlers[:]
+
+        test_handler = logging.StreamHandler()
+        root_logger.addHandler(test_handler)
+        expected_handlers = initial_handlers + [test_handler]
+
+        with ClearLoggingHandlers():
+            self.assertEqual(len(root_logger.handlers), 0)
+            temp_handler = logging.StreamHandler()
+            root_logger.addHandler(temp_handler)
+
+        self.assertEqual(len(root_logger.handlers), len(expected_handlers))
+        for h1, h2 in zip(root_logger.handlers, expected_handlers):
+            self.assertIs(h1, h2)
+
+        root_logger.removeHandler(test_handler)